| NPI | 1659820710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYOUNG CRADDOCK Owner 253-590-6817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN60130475) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN6022137) |
| Enumeration Date | 2016-09-29 |
| Last Update Date | 2016-09-29 |